Given physical risks involved, GAPP recipient still required nursing services during therapies

Topic: Medicaid Eligibility, Decided by: Judge Woodard 
Docket Number: 0000000 , Decision Date: January 9, 2023 
Attachment: Click here to download the decision. 

In this matter, a 3-year-old recipient of nursing services through the Georgia Pediatric Program (GAPP) appealed a decision by the Department of Community Health to reduce his service hours from 24 hours a week to 4 hours a week.  The Court concluded that some reduction in hours was warranted, as the child’s feeding tube had been removed.  However, the Court also found the child needed at least one additional hour of nursing services—totaling 5 hours a week—because he faced physical risks to his health during his physical and occupational therapies.    


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